Volume 3 ; Issue 2 ; in Month : July-Dec (2019) Article No : 124
Mohsina Hassan, Savitri VVS, Tanveer N, et al.
Introduction: Cardiovascular diseases are the leading cause of death in industrialized countries and are expected to become so in emerging countries by 2020. Among this coronary artery disease is the most prevalent cardiovascular disease. ACS may be defined as all clinical syndromes compatible with acute myocardial ischemia resulting from an imbalance between myocardial oxygen demand and supply. ACS comprises of NSTEMI, STEMI, and unstable angina. Methods: This is a prospective observational study conducted in MAXCURE hospital Hyderabad. Cases were collected who were diagnosed with ACS from inpatients of cardiology department in duration of 6 months. Results: A total of 198 cases of ACS were observed. Among them 61 cases of NSTEMI, 67 cases of STEMI, 70 cases of unstable angina. It was more common in men when compared to women and was found to be more prevalent in patients under the age of 55. Most common medical history of patients was angina and hypertension. All patients underwent surgery either CABG and PTCA. The drugs used were aspirin, clopidogrel, beta blockers, statins, nitrates, ACEI, heparin. Conclusion: ACS is one of the most common coronary diseases. The main symptoms includes chest pain and shortness of breath grade II and III. Maximum patients suffer from unstable angina followed by STEMI and then by NSTEMI. The age group most affecting is less than 55. Males are at more risk than females. The common history of patients include angina, hypertension, diabetes and smoking. All the patients arriving at emergency will be prescribed with aspirin, beta blockers, nitrates, statins, clopidogrel and heparin. The use of calcium channel blockers, ACEI, thrombolytics, warfarin, LMWH, is less or almost nil.
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